Laser treatment

Rubber band ligation

This is a simpler office based treatment, typically recommended for the first line treatment of the internal piles. No anaesthetic is required and you are able to go home almost immediately.

This is a procedure in which elastic bands are applied onto an internal haemorrhoid at least 1 cm above the dentate line to cut off its blood supply. Within 5–7 days, the withered haemorrhoid falls off. Cure rate has been found to be about 87%.

Sclerotherapy

This procedure involves the injection of a sclerosing agent, such as phenol, into the haemorrhoid. This causes the vein walls to collapse and the haemorrhoids to shrivel up.
This is useful for treating bleeding haemorrhoids (grade I). Some Surgeons prefer this technique for first and second-degree haemorrhoids – those that don’t prolapse much outside the anal canal.

It can be very useful where the bleeding is severe. It is usually very safe and painless.The injection is given through a proctoscope. No Anaesthetic is required.

The Doctor visualises the haemorrhoids and injects with a special syringe and needle, Phenol in almond oil. Only a small volume is used, 2 or 3 mls. The injection is placed just above the haemorrhoids under the lining of the bowel, not too deeply so as to avoid inflammation in adjacent organs.

Skin tag removal

Skin tags are small flesh-coloured or brown growths that hang off the skin and look a bit like warts. They are very common and harmless. However, you may want to consider getting them removed if they are unsightly and affect your self-esteem, or cause hygenic problem.

Ingrown nails

Until recently the only way to cure the ingrown nail (unfortunately still commonly practiced) was to tear off a nail or cut off the part of it. Tearing off a nail causes only a brief relief because the new nail grows in the same way and the whole problem begins again. The proper surgery consist of cutting off the edge of a nail including the so called nail bed, from which the improper nail plate could have grown again (this is the plastic surgery of an ingrown nail, called the Queno method).

It is very important that during this procedure the nail is not removed by a surgeon. It is completely unnecessary, even inadvisable! After removing the changes, surgeon needs to shape the edge of a nail correctly to make it grow properly.

This surgery has its limitations. When this condition is exacerbated and there is a purulent process in a toe, the initial non-invasive (non-surgical treatment) should be used. After the purulent process subsides and the overall condition of toe gets better, you can use surgical, radical treatment.

All these barriers can be avoided by using a laser in this surgery. It can be used even when there is an inflammatory state in a toe or when the toe is infected with staphylococcus. It's possible because the laser ray not only stops the bleeding, but also has disinfective and antibacterial effects.

This surgical procedure is rather small but typical complaints are present after surgery. After surgery it is recommended to sit with your leg raised for a few days. It eases the complaints and prevent from eventual congestion of a toe. After one week you don't have to visit a doctor, for example to remove stitches, because after the laser surgery there are no stitches put in, and the patient can change the dressing by itself.

While going to this procedure it is good to take with you a larger shoe or sandal, to fit the dressing. In comparison with other methods of classical surgery, the laser method has many advantages: